The Thatched House

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people were safe and protected from avoidable harm. At the previous inspection the provider was in breach of the legal regulation in relation to assessing the risk of, and preventing, detecting and controlling the spread of infections. Improvements were found at this assessment and the provider was no longer in breach of this regulation. The provider had previously failed to ensure new staff were of good character and failed to ensure recruitment procedures were operated effectively. Improvements were found at this assessment and the provider was no longer in breach of this regulation. The provider had previously failed to identify, assess and manage risks to people. This was a breach of regulations. Improvements were found at this assessment and the provider was no longer in breach of this regulation.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.
At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.
This meant people’s outcomes were consistently good, and people’s feedback confirmed this. The provider had previously failed to ensure the premises and equipment used were clean, safe and properly maintained. This was a breach of regulations. Improvements were found at this assessment and the provider was no longer in breach of this regulation.

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

Responsive – this means we looked for evidence that the provider met people’s needs. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s needs were met through good organisation and delivery.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.
At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.
This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

At the previous inspection we found records were not always accurate and complete, including for staff employed by the provider. This was a breach of regulations. Improvements were found at this assessment and the provider was no longer in breach of this regulation.

At the previous inspection we found systems did not support the continuous evaluation and improvement of the service. This was a breach of regulations. Improvements were found at this assessment and the provider was no longer in breach of this regulation.